Individual
OKIYMO MANICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24447 WOODBRIDGE RD, WARREN, MI 48091-5846
(313) 580-1292
Mailing address
33250 WARREN RD STE 18, WESTLAND, MI 48185-2920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451017541
MI
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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